| NPI | 1114607884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P118500) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |